Braak stage 1, 100% of pigmented neurons left
parkinsonconnecting

Gene record

KCNH1

potassium voltage-gated channel subfamily H member 1

translation score 0.60, read 2026-10-20; 1 sealed predictions, 0 held; 1 receipts.

Six readers

readerfoundscore
genetics
Open Targets
no genetic evidence; overall 0.06 from other evidence0.00
cell type
Human Protein Atlas
expressed broadly, no clear home in brain cells0.40
chemistry
Open Targets
compounds already reach it: amifampridine phosphate, guanidine hydrochloride, nerispirdine +31.00
trials
ClinicalTrials.gov
6 Parkinson's trials, 1 stopped0.87
literature
PubMed
no papers tie it to Parkinson's yet1.00
pathways
Reactome
1 pathway; mostly dopamine synapse1.00
proposal for KCNH1, translation score 0.60

Knock down and overexpress KCNH1 in a dopamine neuron, astrocyte and microglia tri-culture; measure evoked dopamine release and dopamine transporter uptake and dopamine neuron survival after α-synuclein fibril challenge.

Cell type
a dopamine neuron, astrocyte and microglia tri-culture
Direction
Both arms: public data does not say which way helps; existing compounds already reach the inhibition arm.
Molecular readout
evoked dopamine release and dopamine transporter uptake
Functional readout
dopamine neuron survival after α-synuclein fibril challenge
Rule-out
If neither arm moves evoked dopamine release by 20% or more against non-targeting and empty-vector controls, across three independent differentiations, the hypothesis is wrong.
Lab request
CRISPRi knockdown and lentiviral overexpression of KCNH1 in a tri-culture of iPSC dopamine neurons, astrocytes and microglia; n = 3 differentiations; readouts: evoked dopamine release and dopamine transporter uptake; dopamine neuron survival after α-synuclein fibril challenge. Controls: non-targeting guide, empty vector. About 8 to 10 weeks, most of it differentiation.

Sealed predictions

  1. KCNH1 in dopamine neurons, braak-0.12 (p 0.750) → -0.31 (p 0.414)receipt 4681

Swarm cases

receipt 4681: KCNH1 in dopamine neurons, braak

power
full sample -0.18 (p 0.487, n 18), 95% CI -0.59 to +0.32. the interval is wide: not enough donors to tell.
confounder
adjusted for sex: -0.17 (p 0.498, n 18). does not hold up.
composition
dopamine neurons share of nuclei vs axis +0.05 (p 0.854); controlling for it: -0.52 (p 0.028, n 18). not the mix.
skeptic
leave-one-out range -0.31 to -0.07, sign flips 0; without severely affected donors -0.18 (p 0.487, n 18). fragile.
cell type
no other cell group does better.
axis
no measure beats "tracks Braak Lewy-body stage" for KCNH1 in dopamine neurons.

case closed: nothing better to follow up.

Receipts

loading the receipts